National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274598

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274598
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Concussion, Head injury, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 21 year old female with no pertinent medical history and no drug reactions or allergies who on 29-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV (Lot unspecified by rep"orter). There was no concomitant medication. On 29-JAN-2007 the patient fainted while walking to the waiting room. The patient hit her head on the floor and suffered a concussion. The patient was rushed to an emergency room in an ambulance. She was releas


Changed on 12/8/2009

VAERS ID: 274598 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Concussion, Head injury, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA04255

Write-up:Information has been received from a registered nurse concerning a 21 year old female with no pertinent medical history and no drug reactions or allergies who on 29-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV (Lot unspecified by rep"orter). reporter). There was no concomitant medication. On 29-JAN-2007 the patient fainted while walking to the waiting room. The patient hit her head on the floor and suffered a concussion. The patient was rushed to an emergency room in an ambulance. She was releas release later that day. At the time of the report, the patient had recovered. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 274598 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0011U / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Concussion, Head injury, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA04255

Write-up:Information has been received from a registered nurse concerning a 21 year old female with no pertinent medical history and no drug reactions or allergies who on 29-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV (Lot unspecified by reporter). There was no concomitant medication. On 29-JAN-2007 the patient fainted while walking to the waiting room. The patient hit her head on the floor and suffered a concussion. The patient was rushed to an emergency room in an ambulance. She was release later that day. At the time of the report, the patient had recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 274598 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / - 0 - UN / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Concussion, Head injury, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE None
Current Illness:
Preexisting Conditions: NONE None
Diagnostic Lab Data: NONE None
CDC 'Split Type': WAES0702USA04255

Write-up:Information has been received from a registered nurse concerning a 21 year old female with no pertinent medical history and no drug reactions or allergies who on 29-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV (Lot unspecified by reporter). There was no concomitant medication. On 29-JAN-2007 the patient fainted while walking to the waiting room. The patient hit her head on the floor and suffered a concussion. The patient was rushed to an emergency room in an ambulance. She was release later that day. At the time of the report, the patient had recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Initial and follow-up information has been received from a licensed practical nurse concerning a 21 year old female, whose repported weight was 176 pounds and whose reported height was 65 inches with no pertinent medical history and no illness at the time of vaccination and no drug reactions or allergies who on 29-JAN-2007, at approximately 12:45 P.M., was vaccinated intramuscularly, into the deltoid muscle with the first 0.5 mL dose of GARDASIL vaccine (Lot #654702/0011U). There was no concomitant medication. It was reported that after the vaccination at 12:55 P.M. (also reported as 1:10 P.M.), the patient proceeded to feel dizzy (also reported as "faint") resulting in the patient "passing out" and reported as fainting while walking to the waiting room. The patient hit her head on scale, which was on the floor. The patient was rushed to an emergency roon in an ambulance and was diagnosed with concussion. She was released later that day. At the time of the report, the patient had recovered. Additional information has been requested.


Changed on 4/7/2010

VAERS ID: 274598 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Concussion, Dizziness, Head injury, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0702USA04255

Write-up:Information has been received from a registered nurse concerning a 21 year old female with no pertinent medical history and no drug reactions or allergies who on 29-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV (Lot unspecified by reporter). There was no concomitant medication. On 29-JAN-2007 the patient fainted while walking to the waiting room. The patient hit her head on the floor and suffered a concussion. The patient was rushed to an emergency room in an ambulance. She was release later that day. At the time of the report, the patient had recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Initial and follow-up information has been received from a licensed practical nurse concerning a 21 year old female, whose repported weight was 176 pounds and whose reported height was 65 inches with no pertinent medical history and no illness at the time of vaccination and no drug reactions or allergies who on 29-JAN-2007, at approximately 12:45 P.M., was vaccinated intramuscularly, into the deltoid muscle with the first 0.5 mL dose of GARDASIL vaccine (Lot #654702/0011U). There was no concomitant medication. It was reported that after the vaccination at 12:55 P.M. (also reported as 1:10 P.M.), the patient proceeded to feel dizzy (also reported as "faint") resulting in the patient "passing out" and reported as fainting while walking to the waiting room. The patient hit her head on scale, which was on the floor. The patient was rushed to an emergency roon in an ambulance and was diagnosed with concussion. She was released later that day. At the time of the report, the patient had recovered. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 274598 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Concussion, Dizziness, Head injury, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0702USA04255

Write-up:Information has been received from a registered nurse concerning a 21 year old female with no pertinent medical history and no drug reactions or allergies who on 29-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV (Lot unspecified by reporter). There was no concomitant medication. On 29-JAN-2007 the patient fainted while walking to the waiting room. The patient hit her head on the floor and suffered a concussion. The patient was rushed to an emergency room in an ambulance. She was release later that day. At the time of the report, the patient had recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Initial and follow-up information has been received from a licensed practical nurse concerning a 21 year old female, whose repported weight was 176 pounds and whose reported height was 65 inches with no pertinent medical history and no illness at the time of vaccination and no drug reactions or allergies who on 29-JAN-2007, at approximately 12:45 P.M., was vaccinated intramuscularly, into the deltoid muscle with the first 0.5 mL dose of GARDASIL vaccine (Lot #654702/0011U). There was no concomitant medication. It was reported that after the vaccination at 12:55 P.M. (also reported as 1:10 P.M.), the patient proceeded to feel dizzy (also reported as "faint") resulting in the patient "passing out" and reported as fainting while walking to the waiting room. The patient hit her head on scale, which was on the floor. The patient was rushed to an emergency roon in an ambulance and was diagnosed with concussion. She was released later that day. At the time of the report, the patient had recovered. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 274598 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Concussion, Dizziness, Head injury, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0702USA04255

Write-up:Information has been received from a registered nurse concerning a 21 year old female with no pertinent medical history and no drug reactions or allergies who on 29-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV (Lot unspecified by reporter). There was no concomitant medication. On 29-JAN-2007 the patient fainted while walking to the waiting room. The patient hit her head on the floor and suffered a concussion. The patient was rushed to an emergency room in an ambulance. She was release later that day. At the time of the report, the patient had recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Initial and follow-up information has been received from a licensed practical nurse concerning a 21 year old female, whose repported weight was 176 pounds and whose reported height was 65 inches with no pertinent medical history and no illness at the time of vaccination and no drug reactions or allergies who on 29-JAN-2007, at approximately 12:45 P.M., was vaccinated intramuscularly, into the deltoid muscle with the first 0.5 mL dose of GARDASIL vaccine (Lot #654702/0011U). There was no concomitant medication. It was reported that after the vaccination at 12:55 P.M. (also reported as 1:10 P.M.), the patient proceeded to feel dizzy (also reported as "faint") resulting in the patient "passing out" and reported as fainting while walking to the waiting room. The patient hit her head on scale, which was on the floor. The patient was rushed to an emergency roon in an ambulance and was diagnosed with concussion. She was released later that day. At the time of the report, the patient had recovered. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274598&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166